PT APPS Flashcards
Your patient with Parkinson’s disease was prescribed levodopa. The side effects of the drug are the
following EXCEPT
a. arrhythmias
b. gastrointestinal distress
c. orthostatic hypotension
d. impaired visual accommodation
d. impaired visual accommodation
In behavior therapy, this is a process where learning occurs when an individual engages in specific
behaviors in order to receive certain consequences. Examples of this include positive reinforcement,
extinction and punishment.
a. Operant conditioning
b. Role playing
c. Flooding
d. Modeling
a. Operant conditioning
A 29-year old male with a history of schizophrenia, disorganized type, is referred for ambulation after
a femoral fracture. Patient recently had an exacerbation of the condition. PT will expect this behavior
from patient ______.
a. Feelings of low self-esteem
b. Poor ability to perform tasks that need abstract problem solving
c. Sleep disturbance and flashbacks
d. Increased fear of crowd
b. Poor ability to perform tasks that need abstract problem solving
A PT observes an electrocardiogram of a patient on beta-blockers. Which of the following
electrocardiogram changes could be facilitated by beta-blockers?
a. premature ventricular contractions
b. sinus bradycardia
c. ST segment sagging
d. sinus tachycardia
b. sinus bradycardia
A patient with left sided CHF class II, is referred for physical therapy. During exercises, the patient can
be expected to exhibit _________________.
a. Anorexia, nausea with abdominal pain and distension
b. Dyspnea with fatigue and muscular weakness
c. Severe, uncomfortable chest pain with shortness of breath
d. Weight gain with dependent edema
b. Dyspnea with fatigue and muscular weakness
Pain in the calf aggravate by walking and elevation of the lower extremity is MOST LIKELY caused by
___________________.
a. Arterial insufficiency
b. Sciatica
c. Venous insufficiency
d. Lymphedema
a. Arterial insufficiency
Sudden muscle cramps brought on by exertion and relieved by rest describes this condition.)
a. Embolic occlusion
b. Thrombophlebitis
c. Lymphedema
d. Claudication
d. Claudication
Your patient is a 65-year-old female diagnosed with venous problem. The following therapeutic
procedures are usually indicated to prevent progression of condition EXCEPT: _____________.
a. Patient with problems in the lower extremities should be encouraged to walk, run, rise on toes
b. Electric stimulation is not recommended
c. Gentle massage can be given to move the stagnant blood and relieve the pressure
d. Intermittent pneumatic compression treatments are commonly given, often followed by
exercises
b. Electric stimulation is not recommended
A PT is treating a 39-year-old female diagnosed with thoracic outlet syndrome. During exercise, the
patient begins to complain of light headedness and dizziness. PT immediately takes patient to a chair
and monitors her vital signs. Her respiration rate is 11 breaths per minute, pulse rate 50 beats per
minute and BP 120/85 mmHg. Which of the following statements is MOST accurate?
a. Pulse rate and respiration rate are below normal levels
b. The patient’s vital signs are within normal levels
c. Pulse rate and BP are above normal levels
d. BP and respiration rate are above normal levels
a. Pulse rate and respiration rate are below normal levels
A 70-year-old patient with a history of hypertension and hyperlipidemia comes to therapy confused
and has shortness of breath and generalized weakness. You will suspect that the patient
________________.
a. Is experiencing unstable angina
b. Is showing signs of early Alzheimer’s disease
c. Failed to take prescribed hypertension medication
d. Is showing early signs of myocardial infarction
d. Is showing early signs of myocardial infarction
A PT employee of a rehabilitation center of a hospital evaluates a patient showing several signs and
symptoms of anemia. Which of these questions would be the MOST useful to gather additional
information in relation to anemia?
a. Does it hurt to take a deep breath?
b. Are you susceptible to bruising?
c. Do you frequently experience dizziness, headaches or blurred vision?
d. Do you experience heart palpations or shortness of breath at rest or with mild exertion?
d. Do you experience heart palpations or shortness of breath at rest or with mild exertion?
A patient was referred to PT with fingertips that are rounded and bulbous. The nail plate is more
convex than normal. These changes were considered by the PT as indicating __________.
a. Trauma to the nail bed
b. Inflammation of the proximal and lateral nail folds
c. Psoriasis
d. Chronic hypoxia from heart disease
d. Chronic hypoxia from heart disease
Many of patients seen in physical therapy are susceptible to excessive heat exposure. Heat exhaustion
occurs when a person is exposed to more heat than the thermoregulatory mechanisms are capable of
controlling. Although it rarely occurs in pure forms, it can be categorized as any of the following
EXCEPT ______________ heat exhaustion
a. Exercise induced (heat syncope)
b. Salt exhaustion
c. Protein depletion
d. Water-depletion
c. Protein depletion
A patient with a left sided congestive heart failure, class II, is referred to PT. while exercising, patient
may exhibit ____________.
a. Weight gain with dependent edema
b. Anorexia, nausea with abdominal pain and distension
c. Severe, uncomfortable chest pain with shortness of breath
d. Dyspnea with fatigue and muscular weakness
d. Dyspnea with fatigue and muscular weakness
A traumatic brain injured patient reports to physical therapy feeling lethargic after being placed on
phenobarbital. The primary purpose of the medication is to
a. prevent seizures
b. reduce spasticity
c. limit arrhythmias
d. decrease agitation
a. prevent seizures
A post MI patient is about to begin phase 3 cardiac rehabilitation program. During the initial exercise
session, the patient’s ECG responses are monitored via radio telemetry. PT noticed three PVCs
occurring in a run with no P wave. PTS next strategy is
a. have the patient sit down and rest for a few minutes before resuming exercise
b. stop the exercise and notify the physician immediately
c. continue the exercise session, but monitor closely
d. modify the exercise prescription by decreasing the intensity
b. stop the exercise and notify the physician immediately
A 75-year-old frail female is being treated at home for general strengthening and mobility. The patient
has a 5 year history of taking non-steroidal anti-inflammatory drugs (NSAIDs) such as aspirin for joint
pain and recently added calcium channel. The possible adverse reactions/side effects include:
a. weight increase, hyperglycemia, hypotension
b. stomach pain, bruising, confusion
c. paresthesia, incoordination, bradycardia
d. increased sweating, fatigue, chest pain
b. stomach pain, bruising, confusion
To reduce inflammation of the tracheobronchial mucosa in asthma, COPD and sarcoidosis, steroids
are often prescribed. Which of these is not a side effect of steroid therapy?
a. Increased susceptibility to notion
b. decrease in BP
c. tachycardia
d. osteoporosis
b. decrease in BP
Patient is a 55-year-old female status post removal of lymph nodes in the axilla secondary to cancer.
You apply mechanical intermittent compression and massage. For best results with massage, this
technique is implemented this way
a. massage the distal segment first
b. massage the proximal segment first
c. massage the axillary region first
d. massage applied only every other day
b. massage the proximal segment first
The following are characteristics of an arterial ulcer, EXCEPT _______________.
a. Location is usually in the toes, feet lateral malleolus, anterior tibial area
b. Pedal pulses are usually present
c. Has irregular, smooth edges
d. Painful especially if legs are elevated
b. Pedal pulses are usually present
A patient in the clinical suddenly had an episode of syncope. PT attempts to rule out orthostatic
hypotension as the cause of fainting. The BEST way to do this is by ______________.
a. Checking resting BP and HR in supine and sitting then repeating measurements after the
patient stands for 1 minute
b. Palpating the carotid arteries and taking HR using the supine position for BP measurement
c. Checking HR and blood pressure in supine after 5 minute of rest and then repeating in a semi-
Fowler position
d. Checking HR and BP at rest and after 3 and 5 minutes of cycle ergometer exercise
a. Checking resting BP and HR in supine and sitting then repeating measurements after the
patient stands for 1 minute
A 65-year-old female, 5 weeks post myocardial infarction is attending a cardiac rehab program. The
PT adds a cooling period and patient asks why it is needed. PT’s answer should be _______
a. “it reduces chances of nausea and vertigo.”
b. “it minimizes occurrence of ventricular arrhythmias.”
c. “It allows PT to monitor vital signs after exercise.”
d. “it prevents pooling of the blood in the extremities.”
d. “it prevents pooling of the blood in the extremities.”
Your cardiac patient was given a rest period after symptoms of chest pain and sweating after a mild
exercise. She took nitroglycerin sublingually as per instruction of her cardiologist. The onset of action
from nitroglycerin in this case occurs after _________ minute/s.
a. 30
b. 10
c. 1
d. 5
c. 1
A PT is treating a 35-year-old female with thoracic outlet syndrome. While exercising, the patient starts
to complain of light headedness and felt dizzy. PT immediately sits the patient and monitored her vital
signs. PT measures the patient’s respiration rate as 10 breaths per minute, pulse rate at 45 beats per
minute, and blood pressure as 116/84 mmHg. Which of the following statements is MOST accurate?
a. blood pressure and respiration rate are above normal levels
b. pulse rate and respiration rate are below normal levels
c. patient’s vital signs are within normal limits
d. pulse rate and blood pressure are above normal levels
b. pulse rate and respiration rate are below normal levels